- Molina Healthcare (Madison, WI)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... analysis, task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements… more
- Highmark Health (Madison, WI)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Evolent (Madison, WI)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a ... the impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams… more
- Molina Healthcare (Madison, WI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... key business issues related to cost, utilization and revenue for...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… more
- Molina Healthcare (Racine, WI)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Molina Healthcare (Kenosha, WI)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end ... Success in this role requires a blend of strong technical acumen, business context, and analytical curiosity. While data is primarily accessed through Databricks,… more
- Molina Healthcare (Milwaukee, WI)
- …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... containment information. + Evaluate, write, and present healthcare utilization and cost containment reports and makes recommendations based on relevant findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of… more
- Molina Healthcare (Racine, WI)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... healthcare business needs into technical solutions. This role works closely...queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain… more
- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...for the assigned state + Works in an agile business environment to derive meaningful information out of complex… more
- American Family Insurance - Corporate (Madison, WI)
- …May specialize in product management and product development accountabilities depending upon business need. You will report to a Senior Manager, Product. ... Analyze the performance of the line or book of business , provide product strategy recommendations to divisional and departmental leadership. Evaluate and track… more
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